Vestibular Rehabilitation Using Posturographic System in Elderly Patients with Postural Instability: Can the Number of Sessions Be Reduced?
Identifieur interne : 000013 ( Main/Exploration ); précédent : 000012; suivant : 000014Vestibular Rehabilitation Using Posturographic System in Elderly Patients with Postural Instability: Can the Number of Sessions Be Reduced?
Auteurs : Andrés Soto-Varela [Espagne] ; Marcos Rossi-Izquierdo [Espagne] ; María Del-Río-Valeiras [Espagne] ; Isabel Vaamonde-Sánchez-Andrade [Espagne] ; Ana Faraldo-García [Espagne] ; Antonio Lirola-Delgado [Espagne] ; Sofía Santos-Pérez [Espagne]Source :
- Clinical interventions in aging [ 1178-1998 ] ; 2020.
Descripteurs français
- KwdFr :
- Chutes accidentelles (prévention et contrôle), Enquêtes et questionnaires (MeSH), Femelle (MeSH), Humains (MeSH), Maladies vestibulaires (diagnostic), Maladies vestibulaires (rééducation et réadaptation), Mâle (MeSH), Résultat thérapeutique (MeSH), Sensation vertigineuse (prévention et contrôle), Sujet âgé (MeSH), Techniques de physiothérapie (statistiques et données numériques), Équilibre postural (MeSH), Études prospectives (MeSH), Évaluation gériatrique (MeSH).
- MESH :
- diagnostic : Maladies vestibulaires.
- prévention et contrôle : Chutes accidentelles, Sensation vertigineuse.
- rééducation et réadaptation : Maladies vestibulaires.
- statistiques et données numériques : Techniques de physiothérapie.
- Enquêtes et questionnaires, Femelle, Humains, Mâle, Résultat thérapeutique, Sujet âgé, Équilibre postural, Études prospectives, Évaluation gériatrique.
English descriptors
- KwdEn :
- Accidental Falls (prevention & control), Aged (MeSH), Dizziness (prevention & control), Female (MeSH), Geriatric Assessment (MeSH), Humans (MeSH), Male (MeSH), Outcome Assessment, Health Care (MeSH), Physical Therapy Modalities (statistics & numerical data), Postural Balance (MeSH), Prospective Studies (MeSH), Surveys and Questionnaires (MeSH), Treatment Outcome (MeSH), Vestibular Diseases (diagnosis), Vestibular Diseases (rehabilitation).
- MESH :
- diagnosis : Vestibular Diseases.
- prevention & control : Accidental Falls, Dizziness.
- rehabilitation : Vestibular Diseases.
- statistics & numerical data : Physical Therapy Modalities.
- Aged, Female, Geriatric Assessment, Humans, Male, Outcome Assessment, Health Care, Postural Balance, Prospective Studies, Surveys and Questionnaires, Treatment Outcome.
Abstract
Purpose
Vestibular rehabilitation (VR) using posturography systems has proved useful in improving balance among elderly patients with postural instability. However, its high cost hinders its use. The objective of this study is to assess whether two different protocols of VR with posturography, one of them longer (ten sessions) and the other shorter (five sessions), show significant differences in the improvement of balance among old patients with instability.
Patients and Methods
This is a prospective, experimental, single-center (Department of Otorhinolaryngology of a tertiary referral hospital), randomized (into balanced patient blocks) study with two parallel arms, in 40 people over 65 years of age, with instability and at a high risk of falling. The percentage of the average balance (composite) in the sensory organization test (SOT) of the CDP (main outcome measure), other CDP scores, time and steps in the "timed up and go" test, scores of Dizziness Handicap Inventory (DHI), short Falls Efficacy Scale - International (short FES-I), and Vertiguard were compared before and 3 weeks after VR between both intervention groups.
Results
The two treatment groups (20 patients per group) were comparable in age, sex, and pre-VR balance evaluation. In both groups, we observed a significant improvement in global balance (composite) after VR (49±11.34 vs 57±13.48, p=0.007, in the group undergoing 10 sessions; 51±12.55 vs 60±12.99, p=0.002, 5 sessions). In both groups, we also observed improvements in other posturographic parameters (in the SOT and limits of stability) but not in the timed up and go scores or in the questionnaires. Comparison of the improvement level achieved in both groups revealed no significant differences between them.
Conclusion
The protocols of vestibular rehabilitation by posturography of 5 sessions in elderly patients with postural instability are as effective as those of 10 sessions for improving balance among elderly patients with postural instability.
Trial Registration
ClinicalTrials.gov identifier: NCT03034655. Registered on 25 January 2017.
DOI: 10.2147/CIA.S263302
PubMed: 32617000
PubMed Central: PMC7326163
Affiliations:
Links toward previous steps (curation, corpus...)
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Compostela</wicri:regionArea><wicri:noRegion>Santiago de Compostela</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>Department of Surgery and Medical-Surgical Specialities, University of Santiago de Compostela, Santiago de Compostela, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Surgery and Medical-Surgical Specialities, University of Santiago de Compostela, Santiago de Compostela</wicri:regionArea><orgName type="university">Université de Saint-Jacques-de-Compostelle</orgName><placeName><settlement type="city">Santiago de Compostela</settlement><region nuts="2" type="region">Galice</region></placeName></affiliation></author><author><name sortKey="Rossi Izquierdo, Marcos" sort="Rossi Izquierdo, Marcos" uniqKey="Rossi Izquierdo M" first="Marcos" last="Rossi-Izquierdo">Marcos Rossi-Izquierdo</name><affiliation wicri:level="1"><nlm:affiliation>Department of Otorhinolaryngology, University Hospital Lucus Augusti, Lugo, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Otorhinolaryngology, University Hospital Lucus Augusti, Lugo</wicri:regionArea><wicri:noRegion>Lugo</wicri:noRegion></affiliation></author><author><name sortKey="Del Rio Valeiras, Maria" sort="Del Rio Valeiras, Maria" uniqKey="Del Rio Valeiras M" first="María" last="Del-Río-Valeiras">María Del-Río-Valeiras</name><affiliation wicri:level="1"><nlm:affiliation>Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela</wicri:regionArea><wicri:noRegion>Santiago de Compostela</wicri:noRegion></affiliation></author><author><name sortKey="Vaamonde Sanchez Andrade, Isabel" sort="Vaamonde Sanchez Andrade, Isabel" uniqKey="Vaamonde Sanchez Andrade I" first="Isabel" last="Vaamonde-Sánchez-Andrade">Isabel Vaamonde-Sánchez-Andrade</name><affiliation wicri:level="1"><nlm:affiliation>Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela</wicri:regionArea><wicri:noRegion>Santiago de Compostela</wicri:noRegion></affiliation></author><author><name sortKey="Faraldo Garcia, Ana" sort="Faraldo Garcia, Ana" uniqKey="Faraldo Garcia A" first="Ana" last="Faraldo-García">Ana Faraldo-García</name><affiliation wicri:level="1"><nlm:affiliation>Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela</wicri:regionArea><wicri:noRegion>Santiago de Compostela</wicri:noRegion></affiliation></author><author><name sortKey="Lirola Delgado, Antonio" sort="Lirola Delgado, Antonio" uniqKey="Lirola Delgado A" first="Antonio" last="Lirola-Delgado">Antonio Lirola-Delgado</name><affiliation wicri:level="1"><nlm:affiliation>Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela</wicri:regionArea><wicri:noRegion>Santiago de Compostela</wicri:noRegion></affiliation></author><author><name sortKey="Santos Perez, Sofia" sort="Santos Perez, Sofia" uniqKey="Santos Perez S" first="Sofía" last="Santos-Pérez">Sofía Santos-Pérez</name><affiliation wicri:level="1"><nlm:affiliation>Division of Neurotology, Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Division of Neurotology, Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela</wicri:regionArea><wicri:noRegion>Santiago de Compostela</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>Department of Surgery and Medical-Surgical Specialities, University of Santiago de Compostela, Santiago de Compostela, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Surgery and Medical-Surgical Specialities, University of Santiago de Compostela, Santiago de Compostela</wicri:regionArea><orgName type="university">Université de Saint-Jacques-de-Compostelle</orgName><placeName><settlement type="city">Santiago de Compostela</settlement><region nuts="2" type="region">Galice</region></placeName></affiliation></author></analytic><series><title level="j">Clinical interventions in aging</title><idno type="eISSN">1178-1998</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Accidental Falls (prevention & control)</term><term>Aged (MeSH)</term><term>Dizziness (prevention & control)</term><term>Female (MeSH)</term><term>Geriatric Assessment (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Outcome Assessment, Health Care (MeSH)</term><term>Physical Therapy Modalities (statistics & numerical data)</term><term>Postural Balance (MeSH)</term><term>Prospective Studies (MeSH)</term><term>Surveys and Questionnaires (MeSH)</term><term>Treatment Outcome (MeSH)</term><term>Vestibular Diseases (diagnosis)</term><term>Vestibular Diseases (rehabilitation)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Chutes accidentelles (prévention et contrôle)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Maladies vestibulaires (diagnostic)</term><term>Maladies vestibulaires (rééducation et réadaptation)</term><term>Mâle (MeSH)</term><term>Résultat thérapeutique (MeSH)</term><term>Sensation vertigineuse (prévention et contrôle)</term><term>Sujet âgé (MeSH)</term><term>Techniques de physiothérapie (statistiques et données numériques)</term><term>Équilibre postural (MeSH)</term><term>Études prospectives (MeSH)</term><term>Évaluation gériatrique (MeSH)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Vestibular Diseases</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Maladies vestibulaires</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Accidental Falls</term><term>Dizziness</term></keywords><keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Chutes accidentelles</term><term>Sensation vertigineuse</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Vestibular Diseases</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Maladies vestibulaires</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Physical Therapy Modalities</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Techniques de physiothérapie</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Female</term><term>Geriatric Assessment</term><term>Humans</term><term>Male</term><term>Outcome Assessment, Health Care</term><term>Postural Balance</term><term>Prospective Studies</term><term>Surveys and Questionnaires</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Équilibre postural</term><term>Études prospectives</term><term>Évaluation gériatrique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>Purpose</b></p><p>Vestibular rehabilitation (VR) using posturography systems has proved useful in improving balance among elderly patients with postural instability. However, its high cost hinders its use. The objective of this study is to assess whether two different protocols of VR with posturography, one of them longer (ten sessions) and the other shorter (five sessions), show significant differences in the improvement of balance among old patients with instability.</p></div><div type="abstract" xml:lang="en"><p><b>Patients and Methods</b></p><p>This is a prospective, experimental, single-center (Department of Otorhinolaryngology of a tertiary referral hospital), randomized (into balanced patient blocks) study with two parallel arms, in 40 people over 65 years of age, with instability and at a high risk of falling. The percentage of the average balance (composite) in the sensory organization test (SOT) of the CDP (main outcome measure), other CDP scores, time and steps in the "timed up and go" test, scores of Dizziness Handicap Inventory (DHI), short Falls Efficacy Scale - International (short FES-I), and Vertiguard were compared before and 3 weeks after VR between both intervention groups.</p></div><div type="abstract" xml:lang="en"><p><b>Results</b></p><p>The two treatment groups (20 patients per group) were comparable in age, sex, and pre-VR balance evaluation. In both groups, we observed a significant improvement in global balance (composite) after VR (49±11.34 vs 57±13.48, p=0.007, in the group undergoing 10 sessions; 51±12.55 vs 60±12.99, p=0.002, 5 sessions). In both groups, we also observed improvements in other posturographic parameters (in the SOT and limits of stability) but not in the timed up and go scores or in the questionnaires. Comparison of the improvement level achieved in both groups revealed no significant differences between them.</p></div><div type="abstract" xml:lang="en"><p><b>Conclusion</b></p><p>The protocols of vestibular rehabilitation by posturography of 5 sessions in elderly patients with postural instability are as effective as those of 10 sessions for improving balance among elderly patients with postural instability.</p></div><div type="abstract" xml:lang="en"><p><b>Trial Registration</b></p><p>ClinicalTrials.gov identifier: NCT03034655. Registered on 25 January 2017.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">32617000</PMID><DateCompleted><Year>2020</Year><Month>10</Month><Day>21</Day></DateCompleted><DateRevised><Year>2020</Year><Month>10</Month><Day>21</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Electronic">1178-1998</ISSN><JournalIssue CitedMedium="Internet"><Volume>15</Volume><PubDate><Year>2020</Year></PubDate></JournalIssue><Title>Clinical interventions in aging</Title><ISOAbbreviation>Clin Interv Aging</ISOAbbreviation></Journal><ArticleTitle>Vestibular Rehabilitation Using Posturographic System in Elderly Patients with Postural Instability: Can the Number of Sessions Be Reduced?</ArticleTitle><Pagination><MedlinePgn>991-1001</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.2147/CIA.S263302</ELocationID><Abstract><AbstractText Label="Purpose" NlmCategory="UNASSIGNED">Vestibular rehabilitation (VR) using posturography systems has proved useful in improving balance among elderly patients with postural instability. However, its high cost hinders its use. The objective of this study is to assess whether two different protocols of VR with posturography, one of them longer (ten sessions) and the other shorter (five sessions), show significant differences in the improvement of balance among old patients with instability.</AbstractText><AbstractText Label="Patients and Methods" NlmCategory="UNASSIGNED">This is a prospective, experimental, single-center (Department of Otorhinolaryngology of a tertiary referral hospital), randomized (into balanced patient blocks) study with two parallel arms, in 40 people over 65 years of age, with instability and at a high risk of falling. The percentage of the average balance (composite) in the sensory organization test (SOT) of the CDP (main outcome measure), other CDP scores, time and steps in the "timed up and go" test, scores of Dizziness Handicap Inventory (DHI), short Falls Efficacy Scale - International (short FES-I), and Vertiguard were compared before and 3 weeks after VR between both intervention groups.</AbstractText><AbstractText Label="Results" NlmCategory="UNASSIGNED">The two treatment groups (20 patients per group) were comparable in age, sex, and pre-VR balance evaluation. In both groups, we observed a significant improvement in global balance (composite) after VR (49±11.34 vs 57±13.48, p=0.007, in the group undergoing 10 sessions; 51±12.55 vs 60±12.99, p=0.002, 5 sessions). In both groups, we also observed improvements in other posturographic parameters (in the SOT and limits of stability) but not in the timed up and go scores or in the questionnaires. Comparison of the improvement level achieved in both groups revealed no significant differences between them.</AbstractText><AbstractText Label="Conclusion" NlmCategory="UNASSIGNED">The protocols of vestibular rehabilitation by posturography of 5 sessions in elderly patients with postural instability are as effective as those of 10 sessions for improving balance among elderly patients with postural instability.</AbstractText><AbstractText Label="Trial Registration" NlmCategory="UNASSIGNED">ClinicalTrials.gov identifier: NCT03034655. Registered on 25 January 2017.</AbstractText><CopyrightInformation>© 2020 Soto-Varela et al.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Soto-Varela</LastName><ForeName>Andrés</ForeName><Initials>A</Initials><Identifier Source="ORCID">0000-0001-6763-329X</Identifier><AffiliationInfo><Affiliation>Division of Neurotology, Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Surgery and Medical-Surgical Specialities, University of Santiago de Compostela, Santiago de Compostela, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rossi-Izquierdo</LastName><ForeName>Marcos</ForeName><Initials>M</Initials><Identifier Source="ORCID">0000-0003-4526-5814</Identifier><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, University Hospital Lucus Augusti, Lugo, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Del-Río-Valeiras</LastName><ForeName>María</ForeName><Initials>M</Initials><Identifier Source="ORCID">0000-0003-0877-5233</Identifier><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vaamonde-Sánchez-Andrade</LastName><ForeName>Isabel</ForeName><Initials>I</Initials><Identifier Source="ORCID">0000-0002-5933-1571</Identifier><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Faraldo-García</LastName><ForeName>Ana</ForeName><Initials>A</Initials><Identifier Source="ORCID">0000-0001-6741-5188</Identifier><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lirola-Delgado</LastName><ForeName>Antonio</ForeName><Initials>A</Initials><Identifier Source="ORCID">0000-0002-0719-7868</Identifier><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Santos-Pérez</LastName><ForeName>Sofía</ForeName><Initials>S</Initials><Identifier Source="ORCID">0000-0001-9940-5478</Identifier><AffiliationInfo><Affiliation>Division of Neurotology, Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Surgery and Medical-Surgical Specialities, University of Santiago de Compostela, Santiago de Compostela, Spain.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><DataBankList CompleteYN="Y"><DataBank><DataBankName>ClinicalTrials.gov</DataBankName><AccessionNumberList><AccessionNumber>NCT03034655</AccessionNumber></AccessionNumberList></DataBank></DataBankList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>06</Month><Day>26</Day></ArticleDate></Article><MedlineJournalInfo><Country>New Zealand</Country><MedlineTA>Clin Interv Aging</MedlineTA><NlmUniqueID>101273480</NlmUniqueID><ISSNLinking>1176-9092</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000058" MajorTopicYN="N">Accidental Falls</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004244" MajorTopicYN="N">Dizziness</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015577" MajorTopicYN="N">Geriatric Assessment</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017063" MajorTopicYN="N">Outcome Assessment, Health Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D026741" MajorTopicYN="N">Physical Therapy Modalities</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004856" MajorTopicYN="Y">Postural Balance</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015837" MajorTopicYN="N">Vestibular Diseases</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">balance</Keyword><Keyword MajorTopicYN="N">computerized dynamic posturography</Keyword><Keyword MajorTopicYN="N">instability</Keyword><Keyword MajorTopicYN="N">mobile posturography</Keyword><Keyword MajorTopicYN="N">old people</Keyword><Keyword MajorTopicYN="N">vertiguard</Keyword></KeywordList><CoiStatement>The authors report no conflicts of interest in this work.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>05</Month><Day>19</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>06</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>7</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>7</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>10</Month><Day>22</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32617000</ArticleId><ArticleId IdType="doi">10.2147/CIA.S263302</ArticleId><ArticleId IdType="pii">263302</ArticleId><ArticleId IdType="pmc">PMC7326163</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Eur Arch Otorhinolaryngol. 2017 Jun;274(6):2395-2403</Citation><ArticleIdList><ArticleId IdType="pubmed">28251319</ArticleId></ArticleIdList></Reference><Reference><Citation>Cochrane Database Syst Rev. 2012 Sep 12;(9):CD007146</Citation><ArticleIdList><ArticleId IdType="pubmed">22972103</ArticleId></ArticleIdList></Reference><Reference><Citation>Br J Sports Med. 2017 Dec;51(24):1750-1758</Citation><ArticleIdList><ArticleId IdType="pubmed">27707740</ArticleId></ArticleIdList></Reference><Reference><Citation>Arch Phys Med Rehabil. 2007 Aug;88(8):1049-54</Citation><ArticleIdList><ArticleId IdType="pubmed">17678669</ArticleId></ArticleIdList></Reference><Reference><Citation>Clin Cases Miner Bone Metab. 2013 May;10(2):91-5</Citation><ArticleIdList><ArticleId IdType="pubmed">24133524</ArticleId></ArticleIdList></Reference><Reference><Citation>BMC Geriatr. 2019 Jan 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Dec;32(9):1492-9</Citation><ArticleIdList><ArticleId IdType="pubmed">22089958</ArticleId></ArticleIdList></Reference><Reference><Citation>Aging Clin Exp Res. 2018 Nov;30(11):1353-1361</Citation><ArticleIdList><ArticleId IdType="pubmed">30008159</ArticleId></ArticleIdList></Reference><Reference><Citation>Ann Readapt Med Phys. 2006 Feb;49(1):1-7</Citation><ArticleIdList><ArticleId IdType="pubmed">16122828</ArticleId></ArticleIdList></Reference><Reference><Citation>Age Ageing. 2008 Jan;37(1):45-50</Citation><ArticleIdList><ArticleId IdType="pubmed">18032400</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Espagne</li></country><region><li>Galice</li></region><settlement><li>Santiago de Compostela</li></settlement><orgName><li>Université de Saint-Jacques-de-Compostelle</li></orgName></list><tree><country name="Espagne"><noRegion><name sortKey="Soto Varela, Andres" sort="Soto Varela, Andres" uniqKey="Soto Varela A" first="Andrés" last="Soto-Varela">Andrés Soto-Varela</name></noRegion><name sortKey="Del Rio Valeiras, Maria" sort="Del Rio Valeiras, Maria" uniqKey="Del Rio Valeiras M" first="María" last="Del-Río-Valeiras">María Del-Río-Valeiras</name><name sortKey="Faraldo Garcia, Ana" sort="Faraldo Garcia, Ana" uniqKey="Faraldo Garcia A" first="Ana" last="Faraldo-García">Ana Faraldo-García</name><name sortKey="Lirola Delgado, Antonio" sort="Lirola Delgado, Antonio" uniqKey="Lirola Delgado A" first="Antonio" last="Lirola-Delgado">Antonio Lirola-Delgado</name><name sortKey="Rossi Izquierdo, Marcos" sort="Rossi Izquierdo, Marcos" uniqKey="Rossi Izquierdo M" first="Marcos" last="Rossi-Izquierdo">Marcos Rossi-Izquierdo</name><name sortKey="Santos Perez, Sofia" sort="Santos Perez, Sofia" uniqKey="Santos Perez S" first="Sofía" last="Santos-Pérez">Sofía Santos-Pérez</name><name sortKey="Santos Perez, Sofia" sort="Santos Perez, Sofia" uniqKey="Santos Perez S" first="Sofía" last="Santos-Pérez">Sofía Santos-Pérez</name><name sortKey="Soto Varela, Andres" sort="Soto Varela, Andres" uniqKey="Soto Varela A" first="Andrés" last="Soto-Varela">Andrés Soto-Varela</name><name sortKey="Vaamonde Sanchez Andrade, Isabel" sort="Vaamonde Sanchez Andrade, Isabel" uniqKey="Vaamonde Sanchez Andrade I" first="Isabel" last="Vaamonde-Sánchez-Andrade">Isabel Vaamonde-Sánchez-Andrade</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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